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Re: Follow up of the ascitis case and new one From: RModugno@aol.com Wed Sep 22 12:59:06 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Braun, R. Daniel: "Re: Pomeroy Method" Previous message: Jane Helwig, MD : "Office ultrasound" Maybe in reply to: Ricardo Savaris: "Follow up of the ascitis case and new one" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Follow up of the ascitis case and new one" In a message dated 9/22/2004 1:17:41 PM Eastern Daylight Time, rsavaris@hcpa.ufrgs.br writes: A 40 years old, who has a metallic heart valve. Her husband has vasectomy for 7 years. She is under anticoagulant INR: 2,4. She was submitted to a surgery yesterday due to an ovarian hemorrhagic cyst. She had a similar case before. Post op is fine, but I am concerned about her ovulation and the potential of future bleeding. I thought to give her Cerazette (desogestrel) or another progesterone only pill (norethisterone) to prevent ovulation and the possibility of bleeding. Nevertheless, desogestrel has an increased risk of venoembolism and norethisterone does not prevent ovulation as good as desogestrel. Any ideas how to managed it? -- Ricardo Savaris, MD Porto Alegre - Brasil Depo-provera? Robert Modugno MD MBA FACOG Marietta, GA http://www.novaobgyn.yourmd.com Next message: Braun, R. Daniel: "Re: Pomeroy Method" Previous message: Jane Helwig, MD : "Office ultrasound" Maybe in reply to: Ricardo Savaris: "Follow up of the ascitis case and new one" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Follow up of the ascitis case and new one"

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